口腔顔面痛の治療方針 : 非定型歯痛の概念と治療について

概要

論文の詳細を見る
Orofacial pains (OFP) include the concepts such as nociceptive pain, neuropathic pain, psychogenic pain, and sensitization of pain. Atypical odontalgia (AO) is one of the OFP, and patients with AO have a toothache similar to that in the case of dental pulp disease. Therefore, dentists tend to perform procedures such as pulpectomy or tooth extraction for treatment of patients with AO, which results in worsening of the pain. Drug therapy and psychological treatment are the principal forms of treatment for AO and thus invasive treatment should be avoided. Therefore, diagnosis of the toothache of unknown cause should be made accurately on the basis of results of examination. However, the condition of most patients is not accurately diagnosed, and they do not receive appropriate treatment. Thus, the dentist should be competent enough to accurately diagnose and treat AO.
2011-06-30